Certified Post Anesthesia Nurse (CPAN) Practice Exam 2025 – Your All-in-One Resource for Exam Success!

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What is a common sign that a patient might be experiencing adequate oxygenation in the PACU?

Elevated blood pressure

Consistent heart rate

Normal capillary refill time

Normal capillary refill time serves as a common indicator of adequate oxygenation in the post-anesthesia care unit (PACU). Capillary refill time reflects the circulation's ability to supply oxygenated blood to peripheral tissues. When capillary refill is normal, it typically means that the patient has sufficient blood flow and oxygen delivery to the extremities. A standard capillary refill time is generally considered to be less than two seconds.

While other factors like blood pressure, heart rate, and patient warmth can also provide clues about a patient's overall condition, they are influenced by various physiological responses and factors beyond just oxygenation. For example, elevated blood pressure might indicate stress or pain, and a consistent heart rate may not specifically denote adequate oxygenation, especially if the patient is experiencing compensatory mechanisms. Similarly, patient warmth can be affected by a person’s core temperature but does not directly correlate with the efficacy of oxygenation. Thus, normal capillary refill time is a straightforward and effective assessment of whether tissues are receiving adequate oxygen.

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Patient warmth

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